WO2004026147A3 - Septal puncture device - Google Patents

Septal puncture device Download PDF

Info

Publication number
WO2004026147A3
WO2004026147A3 PCT/US2003/028532 US0328532W WO2004026147A3 WO 2004026147 A3 WO2004026147 A3 WO 2004026147A3 US 0328532 W US0328532 W US 0328532W WO 2004026147 A3 WO2004026147 A3 WO 2004026147A3
Authority
WO
WIPO (PCT)
Prior art keywords
cutting
wall
heart
tissue
methods
Prior art date
Application number
PCT/US2003/028532
Other languages
French (fr)
Other versions
WO2004026147A2 (en
Inventor
Andrzej Chanduszko
David J Callaghan
David Widomski
Original Assignee
Nmt Medical Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Nmt Medical Inc filed Critical Nmt Medical Inc
Priority to AU2003272323A priority Critical patent/AU2003272323A1/en
Priority to CA002499753A priority patent/CA2499753A1/en
Priority to DE60317909T priority patent/DE60317909T2/en
Priority to EP03754499A priority patent/EP1542593B9/en
Publication of WO2004026147A2 publication Critical patent/WO2004026147A2/en
Publication of WO2004026147A3 publication Critical patent/WO2004026147A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/30—Surgical pincettes without pivotal connections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/32053—Punch like cutting instruments, e.g. using a cylindrical or oval knife
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00592—Elastic or resilient implements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A61B2017/00575—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closure at remote site, e.g. closing atrial septum defects
    • A61B2017/00606—Implements H-shaped in cross-section, i.e. with occluders on both sides of the opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A61B2018/00392—Transmyocardial revascularisation

Abstract

Apparatus, systems, and methods for forming a hole in biological material, such as tissue walls, adjacent vessels or adjacent regions of an organ such that access to opposing surfaces of the biological material can be achieved. In general overview the system may include ,an elongate member for positioning and deploying a flexible member in the heart. In one embodiment apparatus and methods are provided for aligning and fixing the position of the tip of a cutting member for cutting a hole in the septal wall of a heart. In another embodiment, subsequent to cutting a tissue wall an apparatus for obstructing holes in the septal wall is inserted to limit the flow of blood through a plurality of holes in a tissue wall.
PCT/US2003/028532 2002-09-23 2003-09-11 Septal puncture device WO2004026147A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
AU2003272323A AU2003272323A1 (en) 2002-09-23 2003-09-11 Septal puncture device
CA002499753A CA2499753A1 (en) 2002-09-23 2003-09-11 Septal puncture device
DE60317909T DE60317909T2 (en) 2002-09-23 2003-09-11 DEVICE FOR PUNCTING A SEPTUMS
EP03754499A EP1542593B9 (en) 2002-09-23 2003-09-11 Septal puncture device

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US41295202P 2002-09-23 2002-09-23
US60/412,952 2002-09-23

Publications (2)

Publication Number Publication Date
WO2004026147A2 WO2004026147A2 (en) 2004-04-01
WO2004026147A3 true WO2004026147A3 (en) 2004-08-12

Family

ID=32030942

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/028532 WO2004026147A2 (en) 2002-09-23 2003-09-11 Septal puncture device

Country Status (8)

Country Link
US (2) US20040092973A1 (en)
EP (1) EP1542593B9 (en)
AT (1) ATE379991T1 (en)
AU (1) AU2003272323A1 (en)
CA (1) CA2499753A1 (en)
DE (1) DE60317909T2 (en)
ES (1) ES2298556T3 (en)
WO (1) WO2004026147A2 (en)

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US9138228B2 (en) 2004-08-11 2015-09-22 Emory University Vascular conduit device and system for implanting
US9308015B2 (en) 2007-04-24 2016-04-12 Emory University Conduit device and system for implanting a conduit device in a tissue wall
US9320875B2 (en) 2011-02-01 2016-04-26 Emory University Systems for implanting and using a conduit within a tissue wall
US9532773B2 (en) 2011-01-28 2017-01-03 Apica Cardiovascular Limited Systems for sealing a tissue wall puncture

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US20040092973A1 (en) 2004-05-13
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AU2003272323A1 (en) 2004-04-08
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US20130317531A1 (en) 2013-11-28
EP1542593B9 (en) 2008-08-20
WO2004026147A2 (en) 2004-04-01

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